Syphilis cases in Skagit County run about 66% lower than the US average. Whether you're starting a new relationship or maintaining ongoing care in Hoogdal, Washington, you can choose from nearby clinics that accept walk-ins or at-home kits that fit your schedule.
Available testing centers
7 testing options are listed for Hoogdal, WA. The nearest, Skagit Regional Health, is about 8.9 miles away. Compare community and public clinics, private labs, and at-home kits below.
Listings tagged Community health center are federally funded health centers and rural clinics that treat everyone regardless of insurance or ability to pay: required to bill on a sliding fee scale and provide confidential care, and in many states minors may consent to their own STI testing. A Title X tag flags centers funded for confidential family-planning services; confirm current participation when you call.
Source: CMS FQHC & Rural Health Clinic enrollment files (data.cms.gov), refreshed quarterly. Title X status reflects the latest OPA grantee list.
Skagit Regional Health in Mount Vernon brings hospital-system infrastructure to STI care: testing for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis B, and hepatitis C, with treatment, HPV and hepatitis A and B vaccines, and sliding-scale fees accepted alongside insurance and Medicaid. An appointment is required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
Sea Mar Community Health Centers in Mount Vernon roots STI testing inside full community health infrastructure: meaning gonorrhea, chlamydia, syphilis, HIV, herpes, and hepatitis are handled on a sliding-scale fee with same-visit bacterial treatment, by appointment, with care conducted in Spanish.
Many STI clinics route Spanish-speaking patients through ad-hoc workarounds that slow the visit and flatten the conversation. At Sea Mar in Mount Vernon, Spanish is a native clinical language: history-taking, results, and treatment planning happen directly, without an intermediary step between patient and provider.
Sexual health and substance use intersect in ways that a single-purpose STI clinic simply isn't equipped to address. Sea Mar Mount Vernon carries licensed substance-abuse treatment as a standing service, so both conditions can be assessed and managed together without splitting care across separate providers.
The typical STI panel stops at chlamydia, gonorrhea, syphilis, and HIV. Leaving herpes and hepatitis to referral or a separate visit. Sea Mar Mount Vernon tests for herpes, hepatitis A, and hepatitis C on-site, and backs hepatitis A testing with the vaccine and on-site hepatitis C treatment when results call for it.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
Sea Mar Community Health Center in Mount Vernon carries federally qualified status, which means STI screening (syphilis, gonorrhea, and chlamydia) is priced on a sliding scale tied directly to what you earn. No appointment is needed to access that income-adjusted rate.
Tests offered
Fees & payment
Free tool · not a clinic
Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.
| Infection | Earliest reliable test | Conclusive after |
|---|---|---|
| Chlamydia | 7 days after exposure | 14 days after exposure |
| Gonorrhea | 7 days after exposure | 14 days after exposure |
| Trichomoniasis | 7 days after exposure | 28 days after exposure |
| HIV (NAT / RNA) | 10 days after exposure | 33 days after exposure |
| HIV (4th-gen Ag/Ab) | 18 days after exposure | 45 days after exposure |
| HIV (antibody) | 21 days after exposure | 84 days after exposure |
| Syphilis | 21 days after exposure | 42 days after exposure |
| Hepatitis B | 21 days after exposure | 42 days after exposure |
| Hepatitis C | 56 days after exposure | 77 days after exposure |
| Herpes (HSV) | 28 days after exposure | 112 days after exposure |
Guidance only, confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.
Typical out-of-pocket ranges by option, actual cost depends on which tests you need.
Public / community clinic
Free HIV testing is common
Private lab (self-pay)
Never billed to insurance
At-home kit
Mailed to your door, private
Doctor / urgent care
Often $0 preventive with insurance
No centers match those filters. Clear the service-type filter or the opening-hours filters to see every center.
Every other option
Beyond the dedicated testing centers above: at-home kits by mail, hospital labs certified for STI testing, local clinicians who can order a panel during a regular visit, pharmacies for self-test kits and prescriptions, and online PrEP & treatment.
Test from home
The nearest testing center is about 9 miles away; if you'd rather skip the trip, an at-home kit ships to Hoogdal, you collect the sample privately, and mail it back to a CLIA-certified lab. Results come online in days, with a clinician available if anything is positive. Same labs as a clinic, no waiting room, and you can read how accurate at-home STD tests are before you order.
Want a free option first? The CDC-supported TakeMeHome (opens in a new tab) program mails free at-home HIV self-test kits, and, in many areas, free STI kits, to your door, with no insurance or payment needed. The paid kits below add broader panels and faster turnaround.
In-home collection
$79 & up
Best for simplicity & support
$89 & up
Best range: couples & full panels
$79 & up
Every kit uses CLIA-certified labs. At-home testing is for screening; a reactive result should be confirmed and treated by a clinician. Prices and panels shown are illustrative and change often, confirm current details on the provider's site.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Skagit County, each lab's town is shown on its card below. Many test through a doctor's order or by appointment rather than walk-in, so call ahead to confirm STD/STI testing and availability before visiting.
2000 Hospital Drive, Sedro Woolley, WA 98284
CMS-certified lab Accredited · College of American Pathologists
200 Hospital Drive, Sedro Woolley, WA 98284
CMS-certified lab
528 Myrtle Street, La Conner, WA 98257
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Hoogdal. A CLIA certificate records only that a laboratory is federally certified — it does not confirm the site performs STD testing, nor its hours, price or access. Inclusion is not an endorsement; always call to verify.
Local clinicians
Beyond dedicated clinics, 368 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Hoogdal. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 145 offer telehealth.
Thomas Calderon, MD Telehealth
Family medicine · 25959 Community Plaza Way, Sedro Woolley
Chee Tan, MD
OB-GYN · 1990 Hospital Drive, Sedro Woolley
Kelly Fellows, MD
OB-GYN · 1990 Hospital Drive, Sedro Woolley
Nadezhda Volsky, MD
Family medicine · 835 East Fairhaven Avenue, Burlington
Melissa Negretti, MD Telehealth
Family medicine · 205 West Stewart Road, Mount Vernon
John Dew, DO
Family medicine · 2320 Fwy Drive, Mount Vernon
These are registry-listed clinicians, not dedicated STD-testing clinics. CMS records do not independently verify current licensure, testing services, availability, price, or new-patient status. Confirm each detail before booking. Source: CMS Doctors & Clinicians.
Nearby pharmacies
No pharmacy near Hoogdal, WA publishes an STD-related service or holds a current CLIA testing certificate, so these are simply the closest. Contact a location directly to confirm counter hours, services, prices, and availability before visiting.
7.0 mi Haggen Pharmacy
7.1 miFred Meyer Pharmacy
7.2 miBrown & Cole Stores
9.0 miSea Mar Community Health Centers
9.0 mi
9.0 mi Showing the 6 closest pharmacies to Hoogdal, WA.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
Testing is one step. For residents of Hoogdal, telehealth covers the rest: HIV-prevention medication (PrEP) and DoxyPEP to lower future risk, and discreet online treatment if a result comes back positive. All prescribed by licensed U.S. clinicians.
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.
STD stats & rates
How reported STI rates in Skagit County, the county that includes Hoogdal, compare with Washington and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~24% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#22 of 39 Washington counties for chlamydia, a higher rate than 44% of the state
| Infection | Skagit County | Washington | United States |
|---|---|---|---|
| Chlamydia | 271.7 357 cases ▼ 23% | 354.4 | 492.2 |
| Gonorrhea | 43.4 57 cases ▼ 67% | 129.6 | 179.5 |
| Syphilis (P&S) | 5.3 7 cases ▼ 75% | 21.3 | 15.8 |
| Syphilis (early) | 3.8 5 cases ▼ 70% | 12.5 | 16 |
| Syphilis (late/unknown) | 16 21 cases ▼ 30% | 22.9 | 29.5 |
Rates per 100,000 population, 2023. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis). Population figures: U.S. Census Bureau ACS. These figures are the latest available surveillance estimates. Bars are scaled to the highest rate shown.
Reading these numbers: reported case rates only count infections that were actually tested for and diagnosed, so they track local screening effort as much as true spread: a higher rate can reflect more testing, a lower one less. Either way, most STIs cause no symptoms, so treat the figures above as context rather than a verdict, and test on the CDC's schedule regardless of how your area looks.
Between 2020 and 2023 in Skagit County, chlamydia has fallen from 314.2 to 271.7 per 100,000 (14%), gonorrhea has fallen from 100.4 to 43.4 per 100,000 (57%), and P&S syphilis has fallen from 7.7 to 5.3 per 100,000 (31%).
The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis).
Community health context
Sources: CDC PLACES (ZIP), County Health Rankings, CDC/ATSDR SVI, HRSA HPSA, HRSA MUA/P, Neighborhood Atlas ADI. Lower insurance coverage, fewer routine checkups, and a thin primary-care ratio all raise the value of low-cost public clinics and at-home testing in Skagit County.
Local HIV snapshot
Skagit County HIV care continuum (2020)
Skagit County recorded 4.5 new HIV diagnoses per 100,000 (2020), against 6.3 statewide and 13.7 nationally. Among Skagit County residents living with HIV, 80.9% are in care · 74.8% are virally suppressed. Early, routine testing is what moves these numbers: it is the entry point to PrEP, treatment, and viral suppression.
Sources: AIDSVu (Emory/Gilead) · CDC AHEAD · CDC AtlasPlus · CDC NCHHSTP AtlasPlus (county care continuum). The CDC recommends everyone aged 13–64 test for HIV at least once: every lab and clinic listed above offers HIV testing, and free rapid HIV testing is available at a local health department.
Congenital syphilis, passed from parent to baby in pregnancy, is the fastest-rising STI in the country. U.S. cases climbed from 2,163 in 2020 to 3,882 in 2023. It is almost entirely preventable: the CDC recommends a syphilis test at the first prenatal visit, and every clinic and lab listed for Skagit County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
WA-9 through Hoogdal is a real drive, not far in miles, but far enough that a clinic visit requires planning, especially when nearly three in ten households here are renters carrying a monthly payment that leaves little room for unexpected costs. For that group, a fee schedule matters as much as a map. The homeownership rate tells part of the story: Hoogdal is predominantly a settled, family-rooted community, with half of adults married and household sizes that suggest kids and shared schedules rather than solo calendars. That stability is real, but it doesn't insulate younger adults, people in their late teens and twenties still building partnerships and navigating new relationships, from the STI rates that Skagit County logs year after year.
Those years are the ones when regular screening matters most, and they're also the years when a long stretch of North Township Street between you and a clinic can be enough to let an appointment slide. With just over six in ten residents in the labor force, many people here are working schedules that don't leave a free Tuesday afternoon. The testing options listed on this page include clinics with extended hours and sliding-scale fees, worth cross-referencing against your own week before you pick one. Butler Hill on the horizon is a good landmark; the right clinic is the one you'll actually reach.
Getting there
At 4.5/20 on the EPA walkability index, day-to-day errands in Hoogdal generally mean driving: plan on a car or rideshare to reach a clinic, and check each listing's hours and phone before you go.
Source: EPA National Walkability Index 2021.
ZIP 98284 snapshot
ZIP-level Census figures for the wider 98284 area around Hoogdal: a single ZIP can span several communities, so they describe the area, not Hoogdal alone.
Hoogdal sits in Skagit County, ZIP 98284. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Hoogdal? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
Reference
Everything to know before you test in Skagit County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Washington law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Based on current CDC screening recommendations.
| Group | Tests | How often |
|---|---|---|
| Everyone aged 13–64 | HIV | At least once |
| Sexually active women under 25 | Chlamydia, gonorrhea | Every year |
| Women 25+ with new or multiple partners | Chlamydia, gonorrhea | Every year |
| Pregnant people | HIV, syphilis, hepatitis B & C, chlamydia | Early in pregnancy |
| Gay & bisexual men (MSM) | Chlamydia, gonorrhea, syphilis, HIV | Every 3–6 months |
| Anyone who shares injection equipment | HIV, hepatitis B & C | At least yearly |
| All adults at least once | Hepatitis C | At least once |
Testing too early can return a false negative, confirm timing with a Hoogdal-area provider.
| Infection | Earliest reliable test | Sample |
|---|---|---|
| Chlamydia | 1–2 weeks | Urine or swab |
| Gonorrhea | 1–2 weeks | Urine or swab |
| Trichomoniasis | 1–4 weeks | Urine or swab |
| HIV (NAT / RNA) | 10–33 days | Blood |
| HIV (4th-gen Ag/Ab) | 18–45 days | Blood |
| HIV (antibody) | 3–12 weeks | Blood / oral |
| Syphilis | 3–6 weeks | Blood |
| Hepatitis B | 3–6 weeks | Blood |
| Hepatitis C | 8–11 weeks | Blood |
| Herpes (HSV) | 4–16 weeks (antibody); swab a sore | Blood / swab |
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Hoogdal often test free or on a sliding scale; private labs and at-home kits bundle several tests into one fee. Use this as a per-test benchmark before you pay out of pocket, or see the full guide to STD test costs for insurance, free, and at-home options.
| Test | Reference price | CPT / HCPCS |
|---|---|---|
| Chlamydia (NAAT) | $47.80 | 87491 |
| Gonorrhea (NAAT) | $47.80 | 87591 |
| Trichomoniasis (NAAT) | $47.76 | 87661 |
| HIV-1/2 antigen/antibody | $26.87 | 87389 |
| HIV-1/2 antibody | $22.44 | 86703 |
| Syphilis (RPR/VDRL) | $5.61 | 86592 |
| Syphilis (treponemal antibody) | $17.49 | 86780 |
| Herpes (HSV NAAT) | $47.76 | 87529 |
| Hepatitis B surface antigen | $15.33 | 87340 |
| Hepatitis C antibody | $29.16 | 86803 |
Source: Medicare Clinical Laboratory Fee Schedule, CMS, 2025 rates (data.cms.gov). Reference rate for the lab assay only: a clinic visit, sample collection, or a bundled multi-test panel may cost more. Medicaid and most insurers cover STD screening at no out-of-pocket cost.
Two things that actually depend on Washington law: who can consent, and whether partners can be treated without their own visit. Everything else about testing privately is the same nationwide (see below).
In Washington, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Washington permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication (or a prescription) to pass to your partner, no separate exam or appointment needed for them.
Keeping a test private works the same in every state. Whether an STD test shows on insurance (the EOB), how to test anonymously, and self-pay options that leave no insurance trail don’t change by location.
Learn more about confidential STD testing in WashingtonSource: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.
Good to Know
Answers to the questions people ask most before getting tested.
Skagit Regional Health, about 8.9 mi away, with 7 options within 30 miles.
Yes, Medicaid typically covers it, and public clinics are free either way.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Skagit County reported ~272 chlamydia cases per 100,000 in 2023, below the Washington average.
In Washington, people under 18 can consent to confidential STD testing and treatment on their own.
Most results are ready in about 1–2 days.
Pregnancy screening is standard; ask about an early-pregnancy STI panel.
Clinics give immediate care and treatment; home kits win on convenience and discretion. Either works.
Little prep is needed, bring an ID and insurance if you have it, and note your exposure dates and any symptoms; for a urine test, avoid peeing for about an hour beforehand.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.